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The doctors of Oceanside Wellness are faced with a tough decision and Charlotte is assigned to a case that hits very close to home.
A second trip to the ER sparks concern for Betsey's well-being and prompts the doctors to launch an investigation into her new foster family.
The day has arrived for Cooper and Charlotte to marry, but not everyone is in a celebratory mood, leading the couple to second-guess their wedding plans.
Katie threatens to take legal action against Violet for "breach of confidentiality," and Violet realizes she'll have to defend her actions to more people than just Katie.
Pete discovers his mom's illness may be his brother's fault. In the wake of her book's success, Violets walks in on Sheldon as he's about to take her archenemy on a date.
At the launch party for Violet's book, Sheldon falls for the smart, beautiful Dr. Marla Phillips, even though she's the critic who panned Violet's tome.
The doctors of Oceanside clash when an expectant mother and her husband, desperate to have children, come to them in order to harvest the eggs of their unborn, ill-fated baby.
Charlotte and Cooper look to forgive each another after couples therapy. Violet seeks approval of her fellow doctors for her novel. Sam and Naomi team up on a case involving a pregnant teen with Down's Syndrome.
Tragedy strikes the Montgomery family. Addison goes home to Connecticut and Sam and her friends decide to join her. Sheldon and Violet clash over a death row patient.
Charlotte's attacker arrives at St. Ambrose, injured by his girlfriend and in need of urgent care. Susan's health takes a turn for the worse and Bizzy pleads with Addison for help.
Addison plans Bizzy and Susan's wedding. Sam is concerned about the care his longtime patient is receiving. Sheldon refers Charlotte to his mentor and friend for help.
Addison's mother, Bizzy, demands her daughter do whatever it takes to save her partner from dying - including working with Dr. Rodriguez once again.
When the D.A. delivers bad news to Charlotte about her sexual assault case, Cooper is outraged and Charlotte seems numb. Addison wants a baby with Sam.
Despite how Charlotte is choosing to deal with the aftermath of her sexual assault, her fellow doctors think they know what's best, teaming up to pursue criminal charges against her attacker.
Charlotte chooses to suffer in silence as she tries to deal with the emotional aftermath of the attack, as Addison struggles to keep the events of that night a secret.
"Did You Hear What Happened to Charlotte King?" The episode title says it all, after the tragedy Charlotte went through plays out in real time.
Addison and Sam's relationship is strained; Pete and Charlotte are faced with the ethical dilemma; Violet crosses some boundaries with Pete's family; A character experiences a stunning tragedy.
Addison is teamed with a new oncologist; Violet and Sheldon visit a prison in order to interview inmates; Addison and Violet suggest Sheldon could be the solution for Amelia's needs.
The arrival of Dell's young orphaned daughter, Betsey, stirs up emotions in the practice. Pete and Amelia disagree over a risky surgery to treat a woman experiencing pain in pregnancy.
The man responsible for endangering Maya's life and killing Dell shows up at Oceanside with a heart condition. Pete volunteers at a friend's home medical clinic. Addison's new romance doesn't go over well.
Violet and Cooper make amendments to their friendship in order to please their significant others, while Pete and Cooper get in an argument involving marijuana use by a patient.
There's a major wedding on the fourth season premiere of Private Practice. Read all about the nuptials and how they will affect various characters now!
Charlotte: My mom always says God doesn't give with both hands. You're young, beautiful, brilliant. There has to be something you can't have.
Amelia: Some days I'd give that all up.
Charlotte: That's just the craving talking. The longer you go without a drink...
Amelia: I drank at your wedding. I thought it was ginger ale. I spit it out.
Charlotte: OK, since then?
Amelia: Nothing, but I can't stop thinking about it.
Charlotte: It was an accident. Don't let a slip turn into a fall. Get your butt to a meeting.
- Permalink: My mom always says God doesn't give with both hands. You're youn...
Your do-over is not with Betsey. It's with Lucas.Cooper
- Permalink: Your do-over is not with Betsey. It's with Lucas.